Individual
CHRISTIN ANZALOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LBS1
Contact information
Practice address
7432 W AINSLIE ST, HARWOOD HEIGHTS, IL 60706-3420
(773) 818-5266
Mailing address
7432 W AINSLIE ST, HARWOOD HEIGHTS, IL 60706-3420
(773) 818-5266
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000005
EI MCO
—
Enumeration date
07/10/2021
Last updated
07/10/2021
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